MDGs and Diabetes The Millenium Development Goals and Diabetes

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					The Millenium Development Goals and Diabetes
We know how to treat and
manage diabetes –
let’s do it now!
GOALS AND TARGETS                                             DIABETES AND THE MDGS
from the Millennium Declaration
      ERADICATE EXTREME POVERTY AND                           Diabetes is a poverty issue: 80% of all people with diabetes live in lower and middle
 1    HUNGER                                                  income countries. India has over 50 million people with diabetes. In sub-Saharan
                                                              Africa 12.1 million people have diabetes. The diabetes epidemic has moved to low and
Target 1A: Halve, between 1990 and 2015,                      middle income countries and threatens to reverse development (MDG) gains made in
the proportion of people whose income is less                 low income countries.
than one dollar a day                                         Diabetes affects the most vulnerable: Studies in India have shown that people living
                                                              in slums show especially high prevalence rates. Vulnerable indigenous peoples have a
Target 1B: Achieve employment for women,                      genetic predisposition to diabetes and some, such as the Australian aborigines, have
men and young people                                          very high rates of diabetes and serious complications.
                                                              Diabetes is a cause of poverty: Lost income, lost jobs and high costs of treatment
Target 1C: Halve, between 1990 and 2015, the                  and complications (such as amputation, blindness, stroke, heart attack) can push poor
proportion of people who suffer from hunger                   families into destitution
                                                              Diabetes can be caused by malnutrition: Poor and irregular nutrition can lead to
                                                              diabetes, particularly during pregnancy.

      ACHIEVE UNIVERSAL PRIMARY EDUCATION                                   Diabetes limits education: the high cost of diabetes treatment and care
 2                                                                          in low income countries can force parents to withdraw children from
Target 2: Ensure that, by 2015, children everywhere, boys                   school, particularly girls.
and girls alike, will be able to complete a full course of                  Diabetes and education are linked: In some contexts, people with more
primary schooling.                                                          years of education have a lower chance of getting Type 2 diabetes.
                                                                            Children with diabetes can have less access to education. Children with
                                                                            Type 1 diabetes in some settings are denied entry to school.

      PROMOTE GENDER          EQUALITY     AND                Women with diabetes face major barriers to health care: Gender biases in power,
 3    EMPOWER WOMEN                                           resources, culture and the organisation of services constrain women with diabetes
                                                              from accessing essential healthcare, resulting in more complications and deaths
Target 3: Eliminate gender disparity in                       Diabetes in a household places additional care burdens on girls & women: girls can
primary and secondary education, preferably                   be removed from school to care for parents or siblings with diabetes. Women caring
by 2005, and in all levels of education no later              for family with diabetes can lose economic and social opportunities.
than 2015.                                                    Women & girls are key agents of diabetes prevention: Evidence shows that investing
                                                              in girls achieves a range of health & socio-economic development goals. Women, as
                                                              mothers and gatekeepers of household nutrition and lifestyle patterns, need to be at
                                                              the forefront of the fight against diabetes.

      REDUCE CHILD MORTALITY                                                Untreated diabetes kills: In some low-income countries, children with
 4                                                                          diabetes have a life expectancy of less than a year. Children receiving
Target 4: Reduce by two thirds, between 1990 and 2015,                      treatment should live long healthy lives.
the under-five mortality rate                                               Diabetes causes infant deaths: Maternal diabetes is associated with low
                                                                            and very high birth weight babies and increases the chance of the child
                                                                            dying before or during birth.

      IMPROVE MATERNAL HEALTH                                 Diabetes is a neglected cause of maternal mortality: Pre-gestational & gestational
 5                                                            diabetes (GDM) is associated with life threatening delivery complications & adverse
Target 5A: Reduce by three quarters, between                  pregnancy outcomes such as macrosomia (high birth weight babies).
1990 and 2015, the maternal mortality rate                    Increasing number of pregnancies complicated by diabetes: Rising prevalence of
                                                              obesity means more women of reproductive age have diabetes.
Target 5B: Achieve universal access to                        Gestational diabetes affects health of mother and child later in life: Mothers with
reproductive health by 2015                                   GDM are more likely to develop Type 2 later in life, and offspring have a 4-8 fold
                                                              increased risk of diabetes.
                                                              Maternal malnutrition is key to the intergenerational transmission of diabetes:
                                                              Both maternal under & over nutrition increases the risk of future diabetes for the

                              The International Diabetes Federation promotes diabetes care, prevention and a cure worldwide.
                     – 166 Chaussee de la Hulpe – B1170 Brussels, Belgium –
The Millenium Development Goals and Diabetes
A Critical Connection

GOALS AND TARGETS                                             DIABETES AND THE MDGS
from the Millennium Declaration
      COMBAT HIV/AIDS, MALARIA AND                            Diabetes risk increases in people with HIV/AIDS: HIV/AIDS patients who are infected
 6    OTHER DISEASES                                          with Hepatitis have a higher risk of developing diabetes.

Target 6A: Have halted by 2015 and begun to                   Diabetes risks increased by anti-retroviral treatment (ART): The use of some ART can
reverse the spread of HIV/AIDS                                triple the risk of getting diabetes in people with HIV/AIDS.
Target 6B: Achieve, by 2010, universal access
to treatment for HIV/AIDS                                     Diabetes increases risk of developing TB: Diabetes patients are three times more
                                                              likely to develop TB when infected. In India, 15% of TB is attributed to diabetes.
Target 6C: Have halted by 2015 and begun
to reverse the incidence of malaria and other                 Diabetes and malaria are a deadly combination: A person with diabetes has a higher
                                                              chance of suffering severe malaria, and higher chance of mortality.

      ENSURE ENVIRONMENTAL SUSTAINABILITY                                  Diabetes threatens sustainable development: Diabetes and climate
 7                                                                         change share common risks and common solutions. Type 2 diabetes
Target 7A: Integrate the principles of sustainable                         is increasing everywhere in children & adolescents. This is a largely
development into country policies and programmes and                       preventable public health disaster closely linked to obesity.
reverse the loss of environmental resources.
                                                                           Well designed towns and cities with good public transport and food
Target 7B: Reduce biodiversity loss                                        systems can increase physical activity and access to healthy food and
                                                                           simultaneously reduce diabetes risks and CO2 emissions
Target 7C: Halve, by 2015, the proportion of people
without sustainable access to safe drinking water and basic                Diabetes is more common among slum dwellers: Diabetes is not just
                                                                           a disease of affluence. There is a strong social gradient. Research has
Target 7D: By 2020, to have achieved a significant                         shown a diabetes prevalence of 10.3% in urban slums in India compared
improvement in the lives of at least 100 million slum                      to the national average of 7.1%.

      A   GLOBAL       PARTNERSHIP        FOR                 Diabetes medicines do not reach all people or all markets: Many countries still
 8    DEVELOPMENT                                             apply tariffs and taxes on essential medicines for diabetes which limit affordability
                                                              and access.
Target 8A: Develop further an open, rule-                     Diabetes is not recognized as a development priority: Diabetes and other non-
based, non-discriminatory trading and                         communicable diseases (NCDs) account for 60% of all deaths in the developing world,
financial system.
                                                              but only 0.9% of US$22 billion international aid (ODA) spent on health in developing
Target 8B: Address the special needs of the                   countries is spent on NCDs. WHO headquarters, with around 2,500 staff, has just one
least developed countries                                     staff member dedicated to diabetes, a disease now affecting more than 300 million
Target 8C: Address the special needs of                       Diabetes has hit small island states especially hard: Pacific island state Nauru
landlocked countries and small island
developing States                                             has a 30.9% diabetes prevalence rate, ranking first in the world. Other small island
                                                              states struggle to afford the treatment and care for high rates of diabetes and its
Target 8D: Deal comprehensively with the                      complications, leading to increasing government deficits and their ability of repaying
debt problems of developing countries                         debt. The Commonwealth, with 32 small states as members, has recognized the threat
through national and international measures                   of diabetes and called for a UN General Assembly Special Session (UNGASS) on NCDs.
in order to make debt sustainable in the long
term                                                          Essential medicines for diabetes are often accessible nor affordable: In many low-
                                                              income countries, insulin and other diabetes essential medicines are not affordable
Target 8E: In cooperation with pharmaceutical                 or accessible to the poor. Children and adults with Type 1 diabetes need insulin and
companies, provide access to affordable                       syringes to survive.
essential drugs in developing countries                       Diabetes self-management technologies are not available for the poor: Accessible
Target 8F: In cooperation with the private                    and appropriate technology for diabetes enables better management, reduces costs,
sector, make available the benefits of new                    and improves outcomes, substantially reducing the burden on the health system.
technologies, especially information and


                             The International Diabetes Federation promotes diabetes care, prevention and a cure worldwide.
                    – 166 Chaussee de la Hulpe – B1170 Brussels, Belgium –

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